HomeMy Public PortalAbout4903 TEMPLE CITY BLVD_Plumbing__ 7awaaT Dim,T „-w (Dav APPLICATION FOR PERMIT
DEPARTMENT OFQG ASAFETY
COUNTY F LOS LOS ND ANGELES
WILLIAM J.. FOX, oHl[r [No1N[oe PLUMBING
FOR APPLICANT TO FILL IN DIWrRI y
PLUMBER GENERAL IN RECEIVED BY FIRREADY ST INBPFOR DATE ISSUED
ADDRESS
312 E 80th STREET L A 3
eas nt 3 2541 BUILDING 4903 Temple Cit Blvd.,
CITY TEL No ADDRESS
COUNTY 4399LOCALITY
wormax No EXPIRics
PERT FEES cRDWB[.
MIST. Sparklett St.
NUMBER TT•[DI r,%TIRE an ITfM R[
OWNER CARROL LOZIER
MAIL
WATER CLOSET(TOILET) 0 O 60 • ADDRESS A.8 above
BATHTu6 0 OSa DITyTemple City TR No
°NCWER 0 0.60 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ TI(IB
LAVATORY (WASH BASIN) 0 O 30 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE 70 COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 050 AND STAT[ LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSBC88 THE ABOVE VALID LOB
LAUNDRY TLB OR TRAY 0 0 SO ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE REBIDENT ROP[RTY DWORIBED ABOVL
GAS SYSTEM OUTLETS 0 ago
SIGNATURE CF
WATER HEATER 0 Mao PERM V.
RLOP RINK 0.60 INSPECTION RECORD
FLOOR SINK 0 CSO
FLOOR DRAIN O 0.50
OIBHWABHER 0 O 60
DRINKING FOUNTAIN 0 050
URINAL O 0.60
HOUR[ BI WER 0 0.60 Z
MISCELLANEOUS1— Water Softener .50 1
C
a
APPROVALS
DATE INEr@IDRM HIIMc
ROUGH PLUMBING
BAR PIPING
GAB VENT
OL13MMOL 0 1 DO CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) 0 1 W 8MLIR
PERMIT Ica GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE 7777
1 O
TURn n ows m APPLICATION FOR PERM
DEPARTMENT OFDING AND SAFETY
COUNTY OFF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER PLUMBING 1
OR APPLICANT TO FILL IN DI3TRIS.iNO GROUP I ZONE
( P7FRFTN
OPLUJ �
PLUMBECONTR RECEIVED READY FOR DATE ISSUED
MBING' FIRST INSPECTION
Y Monterey Park c
ADDRESS
uu
mberland 3.1 DooRli6S
CITY TEL NO
COUNTY 'S �' LOCALITY
LICENSE NO EXPIRES .!
NEAREST
PERMIT FEES cRoae sr
NUMBER TYPE OF FIXTURE OR ITEM PEE OWNER
MAIL
WATER CLOSET (TOILET) a O DO 6 ADDRESS
BATHTUB O DO CITY TEL NO
SHOWER ® 0150 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN ® O DO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN BINK O 60 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRYTUBO TRAY @ O BO ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL O CRI BED ABOVE
GAS SYSTRM OUTLETS ® O O 0 SIGNATURE OF
WATER HEATER a O DO PERM ITTE
SLOPSINK 0 Do INSPECTION RECORD
FLOOR BINK O DO
FLOOR DRAIN O SO
DISHWASHER O SO
DRINKING FOUNTAIN A O DO
URINAL O DO „J
HOUSESEWER O DO Q
Z
ISCELLANEOUB O
C
O
APPROVALS
DATE IMEPXROR t NAY
ROUGH PLUMBING
l
GAB PIPING
GAB VENT
CESSPOOL ( pp CESSPOOL
SEPTIC TANK SEPTIC TANK
I
DRAIN ( ) PIT ( ) ® 1 00 SEWER
PERMIT 1 00 GAS TEST
TOTAL FEEal Zv
UTILITY CO NOTIFIED I
•
FINAL C
COUNTY OF LOS ANGELES TEMPLE CITY q 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1411040019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID I FEES PAID I BUILDING ADDRESS
ITR 14647 LT 57 I 4903 TEMPLE CITY BL
I FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804239
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18590-016-013 01 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A5 LOCALITY TEMPLE CITY CAI
I �51 IOW PRS GAS 5 OUTLET 1 00 SYS 16 20
TENANT T TOTAL FEES 44 00 TISSUED ON PROCESSED BY PLAN BY
11/04/14 SR _
OWNER TEL NO I IFI NAL QkTE FINAL QY CODE
SOG IOKA SADAAO TR SADAKO SOGIOKA TR (626) 285-8895-
14903 TEMPLE CITY HL 1
TEMP 917804239 D SCA PTION OF-WORK
I IGAS LINE FOR A NEW FURNACE
(APPLICANT TEL NO
IGONZALEZ TERESA (626) 581-9040- T
441 W ALLEN AVE 8110 (SPECIAL CONDITIONS I
SAN DIMAS CA 91773
(CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1
ITORO HEATING AND AIR (626) 581-9040- 1_ 1
941 W ALLEN AVENUE #110 LIC NO 1UNDER SLAB WORK
ISAN DIMAS CA 91773 921672
I WATER SERVICE
—I PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER TEL NO
- ROUGH PLUMBING
LIC NO
IGAS PIPING
(GAS VENT
I I HOI WA= HEATER
I
IPLUFB IMG FI%TURES
I I (.AWN BPR INKLERS
I I
IGAS TEST
I
1UTILITY COMPANY NOTIFIED(
I cwV I
GRAY WATER SYSTEM I _
I 1 I I I I
1 I I I I
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I I I I
REPORT ID DPR263 ROUTE TO BS050B
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